Regulatory Analyst

VirtualVocations; Plano (TX); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading company seeks a Regulatory Analyst to support compliance efforts nationwide. The role includes monitoring regulatory requirements, conducting audits, and maintaining stakeholder relationships across the West region. Ideal candidates will have extensive experience in managed care and strong analytical skills.

Qualifications

• 5+ years of experience in managed care.
• 1+ years of experience in standardizing processes and conducting audits.
• 1+ years of experience in stakeholder collaboration and analytics.

Responsibilities

• Monitor and track new regulatory or payor-specific requirements.
• Conduct internal audits and develop corrective action plans.
• Provide ongoing support and manage relationships with IPA groups.

Skills

Analytics

Reporting

Documentation skills

Stakeholder collaboration

Education

High School Diploma / GED

Job description

A company is looking for a Regulatory Analyst - National Remote. Key Responsibilities : Monitor and track new regulatory or payor-specific requirements and support implementation across the West region Conduct internal audits and assist in developing corrective action plans for compliance gaps Provide ongoing support and manage relationships with non-owned IPA groups and oversee NCQA accreditations Required Qualifications : High School Diploma / GED (or higher) 5+ years of experience in managed care 1+ years of experience in standardizing processes, conducting audits, and implementing corrective actions 1+ years of experience in stakeholder collaboration and maintaining adherence to performance metrics 1+ years of experience in analytics, reporting, and documentation skills for compliance monitoring

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